Provider Demographics
NPI:1417202243
Name:SHOWERS, ALEXIS ANN (LMT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANN
Last Name:SHOWERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40358 W DENNIS LN
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-5153
Mailing Address - Country:US
Mailing Address - Phone:602-341-3643
Mailing Address - Fax:
Practice Address - Street 1:7581 S WILLOW DR
Practice Address - Street 2:STE 107
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5033
Practice Address - Country:US
Practice Address - Phone:602-341-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-17103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist